Gastric Sleeve vs Lap Band Pros Cons: Gastric sleeve surgery and Lap-Band surgery are two distinct types of bariatric surgery aimed at treating obesity and preventing further health complications.
Both procedures involve surgically altering the size of the stomach to reduce its capacity.
However, they differ in their approach and target patient populations.
This article provides an overview of the pros and cons of lap-band surgery and gastric sleeve surgery.
We will look in detail at all the essential information about these weight-loss procedures.
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Understanding Lap-Band Surgery
Laparoscopic adjustable gastric band surgery, commonly known as lap-band surgery, is a weight loss surgery option that entails placing a silicone band around the upper part of the stomach to restrict its size.
How Does It Work?
Like other bariatric procedures, lap-band surgery aims to promote weight loss and alleviate obesity-related health issues such as high blood pressure, sleep apnea, and type 2 diabetes.
By applying a band around the upper stomach, the procedure limits the amount of food the stomach can hold.
This leads to a feeling of fullness after consuming smaller portions of food than usual.
Candidates for Lap-Band Surgery
To be considered for lap-band surgery, experts recommend meeting the following criteria:
- Body mass index (BMI) ranging from 30 to 40
- Presence of at least one other obesity-related medical condition, such as type 2 diabetes
Delivery of Lap-Band Surgery:
A bariatric surgeon typically performs lap-band surgery in a hospital setting under general anesthetic.
The procedure is commonly conducted laparoscopically, where the surgeon inserts small instruments through small incisions in the abdomen.
In rare cases, an open surgery approach involving a larger abdominal incision may be used.
Lap-band surgery is often performed on an outpatient basis, meaning it does not require an overnight hospital stay.
Notably, unlike other weight loss options, lap-band surgery is reversible.
The silicone band used can be adjusted or removed by the surgeon without cutting the actual stomach organ.
Possible Side Effects
Although lap-band surgery is minimally invasive, there are potential side effects that may occur after the procedure. Some of the most common include:
- Diarrhea
- Bleeding
- Infection
- Nausea and vomiting
- Decreased appetite
- Vitamin deficiency
- Blood clots in the legs
- Gallstones
- Shifting of the gastric band from its proper position
Pricing and Where to Obtain Lap-Band Surgery
The cost of lap-band surgery can vary based on several factors, including location, hospital system, and insurance coverage.
The estimated cost of bariatric surgery, including lap-band surgery, ranges between $15,000 and $25,000 or more.
A previous study reported an average cost of around $20,000.
It is advisable to check with your health insurance provider regarding coverage options for this procedure.
Understanding Gastric Sleeve Surgery
Gastric sleeve surgery, also known as sleeve gastrectomy, is a commonly performed bariatric surgery option.
It involves the removal of a portion of the stomach, which reduces the amount of food that can be consumed, leading to a feeling of fullness.
How Does It Work?
Gastric sleeve surgery promotes weight loss by physically reducing the size of the stomach.
Approximately 80% of the stomach is removed, resulting in a smaller stomach shaped like a sleeve or a banana.
This procedure aims to achieve weight loss and address obesity-related health conditions such as high blood pressure or type 2 diabetes.
According to the American Society for Metabolic and Bariatric Surgery, gastric sleeve surgery is the most frequently performed bariatric procedure in the United States.
Candidates for Gastric Sleeve Surgery
Experts recommend the following guidelines for considering gastric sleeve surgery:
- Body mass index (BMI) of 40 or higher
- BMI of 35 or higher along with another obesity-related medical condition, like type 2 diabetes
- Previous attempts at weight loss through diet, lifestyle modifications, and medication without success
Delivery of Gastric Sleeve Surgery
Gastric sleeve surgery is typically performed by a bariatric surgeon in a hospital or surgical center under general anaesthetic.
The procedure is commonly conducted laparoscopically, using minimally invasive techniques.
However, open surgery with a larger incision may also be an option.
The larger portion of the stomach is sealed and divided using surgical staples before being removed from the body.
In addition to reducing the stomach size, gastric sleeve surgery also removes parts of the stomach cells responsible for producing ghrelin, the hunger hormone.
This contributes to decreased appetite and improved weight loss outcomes.
Possible Side Effects
Compared to gastric bypass surgery, gastric sleeve surgery is generally considered less risky and easier to perform.
However, there are potential side effects associated with gastric sleeve surgery, including gastritis (stomach lining inflammation), heartburn, stomach ulcers, vomiting, leakage from the surgical site, vitamin deficiency, internal scarring, injury to internal organs, and gallstones.
Prices and Where to Obtain Gastric Sleeve Surgery
Similar to lap-band surgery, the cost of gastric sleeve surgery depends on factors such as insurance coverage and the chosen healthcare facility.
On average, bariatric surgery, including gastric sleeve surgery, ranges from $17,000 to $26,000 according to the American Society for Metabolic and Bariatric Surgery.
It is advisable to check with your health insurance provider to determine coverage for medically necessary weight loss surgeries.
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Determining the Best Treatment Option for You
When considering which weight loss procedure is best for you, it’s important to weigh the various factors and discuss them with your healthcare provider.
Here are some key considerations:
BMI: The body mass index (BMI) requirements for gastric sleeve surgery are slightly higher than those for lap-band surgery. This means that individuals with a higher BMI may be better suited for gastric sleeve surgery.
Permanence: Lap-band surgery is reversible, meaning the silicone band can be adjusted or removed if necessary.
On the other hand, gastric sleeve surgery permanently removes a portion of the stomach, making it a non-reversible procedure.
Effectiveness: Gastric sleeve surgery has shown higher rates of weight loss and improvement in obesity-related diseases compared to lap-band surgery.
Gastric sleeve surgery also has the advantage of reducing hunger and helping to control blood sugar levels.
Weight loss approach: While gastric sleeve surgery directly impacts hunger and blood sugar control, lap-band surgery does not have the same effect. Lap-band surgery primarily restricts the amount of food that can be consumed.
Complications: Lap-band surgery generally has the lowest risk of complications among weight loss procedures. It also has a lower risk of vitamin deficiencies compared to gastric sleeve surgery.
Long-term care: Lap-band surgery may require frequent adjustments to the band in the initial year and ongoing follow-up visits. Additionally, there is a risk of the band moving out of place or causing damage to the stomach over time. Gastric sleeve surgery does not require such adjustments.
Other issues: Gastric sleeve surgery can potentially worsen or cause acid reflux and heartburn, while lap-band surgery can lead to swallowing problems and an enlargement of the esophagus.
Ultimately, your healthcare provider will assess your individual situation, taking into account factors such as your medical history, current health conditions, and weight loss goals.
They will guide you in making an informed decision about which procedure is best for you.
Combining Lap-Band and Gastric Sleeve Surgery
Lap-band and gastric sleeve surgeries are not typically performed together simultaneously.
However, for individuals who are not satisfied with the results of lap-band surgery, it is possible to undergo gastric sleeve surgery at a later time.
The lap band can be removed, and the gastric sleeve procedure can be performed either immediately afterward or during a subsequent operation.
Managing Side Effects
Recovery and side effects can vary from person to person after weight loss surgery.
Your bariatric surgeon or healthcare provider may recommend specific treatments to help alleviate any side effects you may experience.
These treatments may include:
Gradual increase in food and drink intake: This can help ease abdominal pain and related issues.
Medications: Prescription or over-the-counter medications may be prescribed to alleviate symptoms such as nausea, diarrhoea, or vomiting.
Nutritional supplements: Vitamins and supplements may be recommended to address potential nutritional deficiencies.
Exercise routine: Light exercise can help combat fatigue and promote a healthy lifestyle.
Gallstone prevention: Prescription medications may be prescribed to reduce the risk of gallstones.
Wound care: Proper care of incisions can help prevent infections.
Blood clot prevention: Medications may be prescribed to minimize the risk of blood clots.
Your surgeon will provide detailed instructions on how to recognize warning signs of complications, such as leaking from stitches, scarring, or injuries to internal organs.
It is crucial to follow their guidance and seek medical attention promptly if needed.
Summary Gastric Sleeve vs Lap Band Pros Cons
Choosing between lap-band surgery and gastric sleeve surgery requires careful consideration of individual factors and consultation with your healthcare provider.
They will assess your unique circumstances and provide guidance to determine the most suitable treatment option.
Additionally, they will assist in managing any side effects and ensuring your recovery goes smoothly.
Remember, the decision to undergo weight loss surgery is a significant one, and your healthcare provider is there to support you throughout the process.
It’s important to note that the information provided in this article serves as a general overview of the pros and cons of lap-band surgery and gastric sleeve surgery.
Your healthcare provider will provide personalized recommendations based on your specific needs and circumstances.
They will conduct a thorough evaluation, including a review of your medical history, physical examination, and possibly additional tests or consultations with specialists.
In addition to the medical aspects, it’s crucial to consider the lifestyle changes and commitment required after weight loss surgery.
Both lap-band and gastric sleeve surgeries require a commitment to long-term lifestyle modifications, including dietary changes, regular physical activity, and ongoing medical follow-up.
Your healthcare provider will work with you to develop a comprehensive plan that supports your weight loss goals and overall well-being.
Furthermore, it’s essential to have realistic expectations about the outcomes of weight loss surgery.
While these procedures can be highly effective in achieving significant weight loss and improving obesity-related health conditions, individual results may vary.
It’s crucial to understand that weight loss surgery is not a quick fix or a standalone solution.
It should be seen as part of a comprehensive approach to weight management, including healthy eating habits, regular exercise, and ongoing support.
As you embark on this journey, it can be helpful to connect with support groups, attend educational sessions, or seek counseling to address any emotional or psychological factors related to weight and body image.
These lifestyle modifications will support weight loss efforts and help maintain the results achieved through surgery.
Surrounding yourself with a supportive network can greatly contribute to your success and overall well-being.
Ultimately, the decision between lap-band surgery and gastric sleeve surgery should be based on individual circumstances, preferences, and discussions with healthcare professionals.
With the right guidance and ongoing support, you can embark on a transformative journey toward a healthier you.
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